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Orthopaedic Wiki

How to Read a Hip X-Ray β€” Systematic Approach

A comprehensive systematic approach to interpreting hip radiographs, covering patient positioning, anatomical landmarks, key lines and angles, pathological patterns, and common hip...

General | πŸ‘ 38 | 1 day ago

Approach to Lytic Bone Lesions

A lytic bone lesion on X-ray should be approached systematically using five steps: patient age (the single most powerful clue β€” under 20 favours benign lesions, over 40 mandates ex...

Tumor | πŸ‘ 114 | 2 days ago

Unhappy Triad of O'Donoghue

The unhappy triad (O'Donoghue triad) is a combined knee injury involving the ACL, MCL, and medial meniscus, classically caused by a valgus contact force on a planted foot. Modern e...

Tumor | πŸ‘ 16 | 3 days ago

Tennis & Golfer’s Elbow

Tennis elbow = lateral epicondylitis (ECRB tendon origin degeneration). Golfer’s elbow = medial epicondylitis (flexor-pronator origin). Clinical: pain, tenderness, weakness of grip...

General | πŸ‘ 96 | 2 weeks ago

Nerve Entrapments β€” Cubital Tunnel Syndrome

Second most common compression neuropathy after CTS; affects ulnar nerve at elbow. Symptoms: paresthesias in ulnar digits, weakness of intrinsic hand muscles. Tests: Tinel’s at elb...

General | πŸ‘ 29 | 2 weeks ago

Rotator Cuff Tears β€” Repair Principles

Common in elderly and overhead athletes; supraspinatus most often torn. Clinical: pain, weakness in abduction/external rotation, night pain. Tests: Jobe’s, drop arm, external rotat...

General | πŸ‘ 31 | 2 weeks ago

Mallet Finger & Jersey Finger

Mallet: extensor tendon avulsion at DIP → inability to extend. Jersey: FDP avulsion at DIP → inability to flex. Mallet mechanism: forced DIP flexion; Jersey: forced DIP e...

General | πŸ‘ 28 | 2 weeks ago

Developmental Dysplasia of Hip (DDH) β€” Screening & Management

Spectrum: acetabular dysplasia to frank dislocation. Risk factors: breech, female, family history, oligohydramnios. Clinical: Ortolani & Barlow tests in neonates; Galeazzi sign, li...

General | πŸ‘ 20 | 2 weeks ago

Perthes Disease β€” Management

Idiopathic avascular necrosis of femoral head in children 4–10 yrs. More common in boys; often unilateral. Clinical: limp, hip/knee pain, limited abduction/internal rotation. Imagi...

General | πŸ‘ 13 | 2 weeks ago

Biceps Pathology β€” SLAP Lesions

SLAP = Superior Labrum Anterior to Posterior tear involving biceps anchor. Mechanism: overhead throwing, fall on outstretched hand. Types I–IV (Snyder classification). Clinical: pa...

General | πŸ‘ 12 | 2 weeks ago

Hemiarthroplasty Hip β€” Indications

Most common indication: displaced femoral neck fracture in elderly. Types: unipolar (Austin-Moore, Thompson) vs bipolar prostheses. Advantages: shorter surgery, less blood loss vs...

Arthroplasty | πŸ‘ 13 | 2 weeks ago

Avascular Necrosis (AVN) Hip β€” Ficat & ARCO

AVN = ischemic necrosis of femoral head β†’ collapse and arthritis. Risk factors: steroids, alcohol, trauma, sickle cell, Gaucher’s, idiopathic. Ficat staging I–IV; ARCO integrates i...

General | πŸ‘ 13 | 2 weeks ago